Healthcare Provider Details

I. General information

NPI: 1184528119
Provider Name (Legal Business Name): J CLAYTON SPINE AND HEALTH OF SEYMOUR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 E TIPTON ST STE 200
SEYMOUR IN
47274-3561
US

IV. Provider business mailing address

1725 E TIPTON ST STE 200
SEYMOUR IN
47274-3561
US

V. Phone/Fax

Practice location:
  • Phone: 812-519-2963
  • Fax: 812-916-7360
Mailing address:
  • Phone: 812-519-2963
  • Fax: 812-916-7360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAMES C GALYEN
Title or Position: OWNER
Credential: DC
Phone: 812-519-2963